HomeMy WebLinkAboutL 13183 P 338 I l l l l l l f l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l
I Ifflll IIIII iiifl IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/28/2022
Number of Pages : 5 At: 02 :21 : 15 PM
Receipt Number : 22-0171956
TRANSFER TAX NUMBER: 22-12829 LIBER: D00013183
PAGE : 338
District: Section: Block: Lot:
1000 066 . 00 02 . 00 043 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 .00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $25 . 00 NO Handling $20 .00 NO
COE $5 . 00 NO NYS SRCHG $15. 00 NO
EA-CTY $5 .00 NO EA-STATE $125 . 00 NO
TP-584 $5. 00 NO Notation $0. 00 NO
Cert.Copies $0 .00 NO RPT $200. 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0. 00 NO
Fees Paid $400. 00
TRANSFER TAX NUMBER: 22-12829
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
7❑2
RECORDED
i 2022 Dec 20 02:21:15 PH
Number of pages JUDITH R. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L D00013183
record.Please remove all P 338
Social Security Numbers DT# 22-12629
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
"17 1.Basic Tax
Handling i 2. Additional Tax
TP-584 Sub Total
Notation SpecJAssit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
= Dual Town Dual County _
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit •�j�, • Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00family dt�oor
.
Sub Total J YES NO
Other
Grand Total If NO, see appropriate tax clause on
page tt of this instrunt.
45Y A4 b m b 2--
4 Dist " - 3 b 5 Community Preservation Fund
22047589 100o 06600 0200 043000
Real Prop T Consideration Amount$
TaAgecy rRPD
TM A I�I� CPF Tax Due 5
Verificatii 1a oEC- I I
Improved
6 Satisfactions/ulscharges/Releases List Property Owners Mailing Address
/1 cC��RECORD&RETURN TO: Vacant Landry
/ 'h S �ff,QS C I,ILa l 6VLL � TD V
1,3�rjr6tF'I TD
Cev4-r-tr i u t c he( P�1 l/ 1 ( 3 7D
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11g01 Co.Name t s� n
www,suffolkcountyny.gov/clerk Title a g
S Suffolk County Recording & Endorsement Page En
This page forms part of the attached , Pfd made
TY
b (SPECIFY PE OF INS RUMENT)
SCoA. ar\A S -,1kt0 The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
'f TO I In the TOWN of
SC0 T 0 L T G In the VILLAGE
B o h or HAMLET of MA-410
BOXES6THRUSML T BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
r
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the �� day of N0Vt b•er , 2022
BETWEEN
Scott A. Hale and Stephen M. Bjorneboe, residing at 595 Rogers Road,Southold, New
York 11971
party of the first part,and
Scott Anthony Hale,As Trustee of The Scott Anthony Hale Revocable Trust Agreement,
residing at 595 Rogers Road, Southold, New York 11971
party of the second part,
WITNESSETH,that the party of the first part,in consideration of
TEN dollars
paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs
or successors and assigns of the party of the second part forever,
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,
lying and being in the
See Schedule A attached hereto and made a part hereof.
Being and intended to be the same premises as conveyed by deed,dated January 12,
2015 and recorded February 9,2015, in Liber 12806 Page 432 in the Suffolk County
Clerk's Office.
TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads
abutting the above described premises to the center lines thereof,TOGETHER with the appurtenances and all
the estate and rights of the party of the first part Wand to said premises;TO HAVE AND TO HOLD the
premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of
the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever,except as aforesaid.
AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the
first part will receive the consideration for this conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same
first to the payment of the cost of the improvement before using any part of the total of the same for any other
purpose.The word"party"shall be construed as if it read"parties"when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
A. Hal
Step en M. Bjorne V a
Standard N.Y.B.T.U,Form 8002 Bargain and Sale Deed,with Covenant against Grantor's Ads-Uniform Acknowledgment
Form 3290
Schedule A Description
Revised: 01/07/2015
Title Number EA1231-S Policy Number: 8130632-92635964 Page 1
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town
of Southold, County of Suffolk and State of New York, known and designated on
a certain map entitled, "Map of Beixedon Estates, Town of Southold, Suffolk,
N.Y., Property of Grace R. Nickles, formerly Grace Rogers DeBeixedon," made
by Otto W. VanTuyl, Licensed Surveyor, and filed in the Suffolk County Clerk's
Office on March 16, 1946, as Map No. 1472, as and by Lot numbered 10 in
Block numbered 7 on said map, being more particularly bounded and described
as follows:
BEGINNING at a point on the northeasterly side of Rogers Road (a/k/a Rodgers
Road) distant 76.00 feet southeasterly from the corner formed by the intersection
of the northeasterly side of Rogers Road (a/k/a Rodgers Road) with the
southeasterly side of Hippodrome Drive, said point of beginning being where the
division line between Lot 10 and Lot 1 intersects the northeasterly side of Rogers
Road (a/k/a Rodgers Road);
THENCE RUNNING from said point of beginning along the division line between
Lot 10 and Lot 1, North 60 degrees 20 minutes 40 seconds East, a distance of
150.00 feet to a point;
THENCE along the division line between Lot 10 and Lot 6, South 29 degrees 39
minutes 20 seconds East, a distance of 55.00 feet to a point;
THENCE along the division line between Lot 10 and Lot 9, South 60 degrees 20
minutes 40 seconds West, a distance of 150.00 feet to a point on the
northeasterly side of Rogers Road (a/k/a Rodgers Road);
THENCE along the northeasterly side of Rogers Road (alkla Rodgers Road),
North 29 degrees 39 minutes 20 seconds West, a distance of 55.00 feet to the
point or place of BEGINNING.
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Los Angeles )
On 11/10/2022 before me, Michael Kiamzon, Notary Public
(insert name and title of the officer)
personally appeared Stephen M. Biorneboe
who proved to me on the basis of satisfactory evidence_ to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal. MICHAEL KIANIzON
rA^ ' CO41M A 2366851
W P NOTARY PUBLIC-CALWORNIA 4!
las Arcrx�s Couirfr
G °a.o.+�* Yr Coro.E�a.luir 1i,1DI5"�
Signature (Seal)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of5 u-KC:AY- ss: State of New York,County of ss:
On the 8 day of pJo, e r ber in the year Lo ZZ On th day of in the
before me,the undersigned,personally appeared before me, dersigned,personally ared
Scott A.Hale Stephen M.Bjor oe
personally known t o me or proved to me on the basis of personally known tom r prov o me on the basis of
satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence @in
individu al(s)whose name(s)is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to thI meet and acknowledged to
me that he/she/they executed the same in his/her/their me that he/she/the ed the s e in his/her/their
capacity(ies),and that by his/her/thei r signature(s)on the capacity(ies), thais/herltheir si ture(s)on the
instrument,the individual(s),or the person upon behalf of which instrument a individual(s),or the person u behal f of which
the individual(s)acted,executed the instrument. the indi ' ual(s)acted,executed the instrument.
a taking acknowledgment) (signature and office of individual taking acknowledgment)
CHRYSAPASQUALONE- LLER
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.02PA6078544
Qualftled In S Ik CO n
Commission ! IN 4EN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of ss:
On the day of in the year before me,the undersigned,personally appeared
3} r p�.e� (�l• T� lorr�e0' G
persona wn tb me or proved to me on`the basis of satisfactory evidence to be the individuals) names) is(are)
subscribed to the strument and acknowledged to me that he/she/they executed the sa slherltheir capacity(ies),and
that by his/her/their signatu the instrument,the individual(s),or the person up alt of which the individual(s)acted,
executed the instrument,and that suc I I made such appearance befoe undersigned in the
_in
(insert the City or other political subdi on d insert the untry or other place the acknowledgment was taken)
(signature and office of indivi king acknowledgment)
� fwd _
DISTRICT 1000
v r SECTION 66
BARGAIN ANDSALE DEED BLOCK 2
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No. LOT 43Southold
COUNTY OR TOWN595Rogers Road
Hale/Bjorneboe STREET ADDRESS
TO Recorded at Request of
Hale,As Trustee
RETURN BY MAIL TO:
DISTRIBUTED BY
Chrysa Pasqualone, P.C.
35 Bank Street
Center Moriches, New York 11934
LL
Z
Z
a
z
0
W
W
C
LL
W
W
N
C
0
W
U
Q
a
y
W
W
m
s
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stakyrty.us
FOR COUNTY USE ONLY Now York State Department of
C1.SVVIS Code Ai--7 ,2j ria, F51 Taxation and Finance
C2.Data Dead Rocordad Q0 Z / Office of Real Property Tax Services
"w^
our RP-3217-PDF
C3.Book 1 ( , , �' 2JC4.Page `I__J 13,� Real Property Transfer Report(8170)
PROPERTY INFORMATION
t.Property 595 Rogers :toad
Lecalion
•;rxcr r:.ve r •s•re:e r NAve•
S o:.Lhold
_ 11971
'Crrca-dwTr •-• ._- VLVt:L •IPtdp[
z.BuyerName ..::e, As 7r;ts`ea � Sccrt Anthony
Nems
•.Ae-Y+a=G'arw+• >.r`�17'I,Oh� OL}G �IVrI�tL`fl�r 1Ytl�►T 7��Le"'�'r"
—_LAST NAYErCOYPAW =PS•Yat@ `V+
].Tax Ind,ratewhere future Tax[Nils are tobesent Hain, As Trsetee. Scott. Anthony
Billing if other then buyer wWressfat bottom of form) LAST NWLCCur'AW --•-- -wax:WWF
Address
-.C. Box 635 Southold NY 11971
SRFLTA-eP=n AYDM%E Crr}I TAWN 5-ATF rip Cp:E
e.Indicate the number of Assessment Pan of e Pascal (Only If Part of a Pmoll Cheek as they apply:
Roll parcels transfer re on the dee 6 of Parcels OR I__I
9A.Planning Beard with SuhdlNalan Aotltotiy Exlala
Looted X oil 0.18
Property •BROW-=ET 9B.Subdivision Approval was Required far Transfer
Size 'a=� •AsaLc
4C.Parcel Approved forSubclm=vAm Map?mvided
iia.o SCO',L A.
6.Seller •I•TT �NS'N+VL '—
Name 0icrnabore. Stephen M.
:Ai'6AYrACCY+A4Y — rpE'NW[
'7.Select the description which most accurately describes the Check the boxes below as they appy:
use or the property at the Sar of sale: a.Ownership Type is Condominium
A.(Jqr F.nnilc ReAd,•nttal 6.Now Conatroctiononavacant Land ❑
—" - - t 0A.Property lasted widen an Agrkullurel District ❑
10B.Buyer received a disclosure notice indicating that the propody Is in an ❑
Agricultural District
SALE INFORMATION 15.Check one or mom ofthaw conditions as applicable to transfer
A.Sale Between Relatives or Former Relevves
11.Sale Contract Date B.Sale between Related Companies or Partners in Business.
C.One of the Buyers is also a Seller
r 0 z D.Buyer or Seger is Covermrnl Agency or Lrerkng ha tsution
12.Date of$aWTransbr ,.- _E Deed Type not Warranty or Bargain and Sale(Speedy Below)
F.Sale or Fractional or Less then Fee Imemet(Specify Belowl
'17.Full Sala Price 49.011 O.Significant Charge in Prdpedy Between Taxable Status and Sale Dates
H.Sale or Buairres is Irtdtxlad in Sok Price
(Full Sake Price is the total amount paid for the property Including personal property, I.Other Unusual Factors Affecting Sale Price(Speedy Below)
This payment mny be is the farm of cash•other property or goods or the assumption of t None
mis"gages or other obligations)Please round to the neemst whole doseramount.
Cammentil-on Condition:
14.Indicate the value of personal f t�
property included In the sate (� _
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rog and Tax Will
16.Year of Assessment Rall from which Information tokenln') 21 '17.Total Assessed Value 61,100
Property Class 2-10 _ •70.school District Marro S
o:rthol d
'20.Tax Map klandfror(spRoll Idemlltar(s)(if more Own four,Reach ahem with additional Idetdlfieggl
-11,15.f!1P1:.2/043.000
CERTIFICATION
I Certify that all of the Items ofInfomtaUon entered on thisform ars true and correct(to the!hast of my knowledge and balled and I understand that the making of any vWllful
false statement of mated far[herein sub)eel ins to tke.provisions of the penal taw-mlallve to the making and filing of false Instruments.
SELLER 31GNATURg BUYER CONTACT INFORMATIQ.1
rErter inarnaeon In ON ruse•.Note It buyer is LLC.endery enaoxbon.corporeemn.Rest Bad c,many.Beate or
0 AV
Gray 1,w IS not an ndwal sal agave o,eduoery.then a new arra Cocoa rrrrormaaorr of at indmduaenrponaee
._ Bary Tone can saeeer quer"s regarding ere onsfe,must be snared.Type a price dsaay.)
1 n YERS(GNATURE Hale, A.
-
—'IA51 NAVFea¢n NWE
Z_ 'AicAbel_ -- •TES EA1RtiL N_waeP is.2102m)
E
595 Rogers Rossi
•1:NLL"UMB7r •STITEE'NWL
l n Southold NY 11971
+•I'1 CA rr,wN 'S:ArE •ea L'A]E
I ltLYEB'S.ATrQRNEY
Pas C:1a1.onL Chrysa
LAr WAIF. xr,5'NAIlF
ATEA{oda _ rr llgYi.E JrreEo p.y/6yre,